Anal Pain After Intercourse: Symptoms and Solutions - Surgery

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Pain inside the anus?


Hello, I am a gay man.
A few days ago, I had anal intercourse with a friend.
It was very painful when he first entered, so we stopped.
However, for the past few days, I have been experiencing pain around my anus.
It hurts whenever my sphincter contracts.
When I have a bowel movement, the stool has some white substance on it, but I am afraid to see a doctor.
What could these symptoms be?

Tiāntiān, 20~29 year old female. Ask Date: 2016/09/10

Dr. Yu Mingchang reply Surgery


Hello: Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, which cares about you.

Reply Date: 2016/09/10

More Info


Experiencing anal pain after intercourse can be concerning, and it's important to understand the potential causes and appropriate responses. Based on your description, it seems that you are experiencing pain in the anal area, particularly when the anal sphincter contracts, and you have noticed some unusual discharge with your bowel movements. Here’s a detailed overview of what might be happening and what steps you can take.


Possible Causes of Anal Pain After Intercourse
1. Anal Fissures: One of the most common causes of anal pain, especially after anal intercourse, is an anal fissure. This is a small tear in the lining of the anus that can occur due to trauma, such as during penetration. Symptoms typically include sharp pain during and after bowel movements, and you may notice blood on the toilet paper or in the stool.

2. Hemorrhoids: Swollen veins in the rectal area can also cause pain, especially if they become thrombosed (clotted). Hemorrhoids can be internal or external and may cause discomfort, itching, and bleeding.

3. Infections: Anal intercourse can sometimes lead to infections, including sexually transmitted infections (STIs) or bacterial infections. Symptoms may include pain, discharge, and sometimes fever or systemic symptoms.

4. Proctitis: This is inflammation of the lining of the rectum, which can be caused by infections, inflammatory bowel disease, or sexually transmitted infections. Symptoms may include pain, discharge, and changes in bowel habits.

5. Muscle Spasms: After anal intercourse, it’s possible to experience spasms of the anal sphincter, which can lead to pain. This can be exacerbated by anxiety or fear of pain during bowel movements.


Symptoms to Monitor
- Pain Level: Note the intensity of the pain and whether it worsens during bowel movements or when sitting.

- Discharge: The presence of white discharge could indicate an infection or irritation. It’s important to observe the characteristics of this discharge (e.g., color, consistency).

- Bleeding: Any blood in your stool or on toilet paper should be taken seriously.

- Bowel Habits: Changes in bowel habits, such as diarrhea or constipation, can also contribute to anal discomfort.


Recommended Actions
1. Avoid Further Trauma: Until you have a clearer understanding of the cause of your pain, it’s advisable to avoid further anal intercourse or any activities that may aggravate the area.

2. Warm Baths: Taking warm baths can help soothe the area and relieve some discomfort. This is often referred to as a sitz bath.

3. Over-the-Counter Pain Relief: Non-prescription pain relievers, such as ibuprofen or acetaminophen, can help manage pain.

4. Dietary Adjustments: Ensure you are consuming a diet high in fiber to prevent constipation, which can exacerbate anal pain. Staying hydrated is also crucial.

5. Seek Medical Attention: While it may be daunting, it’s important to consult a healthcare professional, especially if the pain persists, worsens, or if you notice any concerning symptoms like significant bleeding or fever. A healthcare provider can perform a thorough examination and may recommend treatments such as topical medications, dietary changes, or further diagnostic tests if necessary.


Conclusion
While it can be uncomfortable to discuss anal pain and related symptoms, seeking medical advice is crucial for your health and peace of mind. Many conditions can be effectively treated, and understanding the underlying cause of your symptoms is the first step toward relief. Don’t hesitate to reach out to a healthcare professional for guidance and support.

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